August - Munson Healthcare

August 2012
News for Physicians affiliated
with Munson Medical Center
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Agreement Gives CAH Access to More Munson Services
Charlevoix Area Hospital
and Munson Healthcare have
signed a regional affiliation agreement which gives
Charlevoix’s hospital access
to a broad range of services
available through Munson
Healthcare.
2004,” said Ed Ness, president
and CEO of Munson Healthcare and Munson Medical
Center. “Both agreements
are focused on maintaining a
range of necessary and ‘close
to home’ health care services
in Charlevoix.”
“This agreement is a logical
extension of the Rural Health
Network agreement between
Charlevoix Area Hospital
and Munson Medical Center
which has been in place since
Under the original Rural
Health Network Agreement,
Munson Medical Center
provided consulting and
advice as requested on issues
related to emergency medi-
cal services, medical staff
services, quality improvement, and the Charlevoix
Area Hospital organizational
plan for care.
The new regional affiliation
agreement will allow the
Charlevoix Area Hospital to
have access to clinical support
services, financial services,
information technology,
materials management, and
other services as requested in
the future.
While there are no immediate changes that impact physicians, the new agreement
is antipated to create opportunities for increased clinical
cooperation in some areas.
Charlevoix Area Hospital
CEO Lyn Jenks said the hospital’s board and leadership
are confident in their strategic direction and in forming
strategic partnerships to further that plan for a sustainable, successful future.
Documentation Team Joins
Munson Coding Efforts
A new team of nurses is helping Munson Medical Center
enhance the quality and
safety of patient care through
improved documentation in
the patient charting process.
Clinical
Documentation Integrity Specialists
are part of a
new initiative that will
Diane Donley,
enhance
MD
the quality
and safety
of patient care via improved
concurrent documentation in
the patient charting process.
Hospitals across the country are developing Clinical
Documentation Integrity
(CDI) programs.
Page 1 | MedNews | August 2012
“The mission of these
programs is to ensure that
physician documentation is
thorough and reflects how
sick and clinically complex
patients are while in the
hospital,” said Diane Donley,
MD, who is the physician
adviser on the project and has
a passion for improving cliniMeet the CDI Team: From left are Janet Gentle, MSN, RN, CCDS; Alyson
cal documentation.
The Clinical Documentation Integrity project centers
around two specific clinical
classification systems; the
Diagnosis Related Groups
(DRGs), and the International Classification of Diseases
(ICD). These classification
systems group patients into
categories based on diagnoses, procedures, age, sex,
and other indicators. These
Swineheart, RN, CMSRN; Lisa Roth, BSN, RN, CCRN; and Jamie Houdek,
RN.
groups are then used by
public and private health care
organizations for statistical,
billing, and quality purposes.
“Accurate patient charting
can be quite a cumbersome
process, said Karen Popa,
Director of Patient Financial
Services. “The data is first recorded by the provider via di-
agnoses and procedures. Professional coders attach these
diagnoses and procedures to
very specific ICD codes which
then lead to DRG assignment
and severity adjusted DRGs.
Severity-adjusted data leads
to morbidity and mortality
rates in physician and hospital
profiles.”
see CDI, page 4
MSU-CHM Traverse City Campus Class of 2014
Gavin Ambrosi
Gavin is from Livonia, Mich,
and earned a degree in biochemistry from the University of Detroit Mercy. Gavin
has worked as an EMT-B,
and served as a community
coordinator for UD Mercy’s
Office of Residence Life. He
has participated in many
different research projects
dating back to his undergrad
years and served as a research
assistant.
Erik Anderson
Erik is from Naples, Fla., and
earned a degree in biology
from the University of Florida. Erik worked as a lifeguard
and as a camp counselor for
kids with chronic illnesses.
He has conducted marine
research, studying non-lethal
effects of toxins on marine
mammals and participated
in medical mission trips. He
was inducted into the U.S.
Navy in 2010 and looks forward to serving our country
after graduation.
Tyler Backlas
Tyler is a native of Beulah,
Mich. He earned a degree
in biology/physiology from
Northern Michigan University. Tyler and one of his
friends founded and ran a
program to entertain and
stimulate patients suffering from various forms
of dementia at a local VA
hospital. He also volunteered
in a number of capacities,
including blood drives, tutoring, fundraising, and public
education through the NMU
Pre-Med Club.
Page 2 | MedNews | August 2012
Members of the MSU-CHM Traverse City Campus class of 2014 are from left Steve MacDonald, Ben Sopczynski,
Megan Moore, Gavin Ambrosi, Tyler Backlas, Erik Anderson, Laura Woodbeck, and Rob Beckmann.
Rob Beckmann
Rob is from Walker, Mich.,
and earned undergraduate
degrees in mathematics from
Michigan State University
and biomedical science from
Grand Valley State University. He has worked as a nurse
tech and conducted research
on coronary artery function
at GVSU. Rob served as a
volunteer assistant track and
field/cross country coach at
Kenowa Hills High School
and volunteered at the Grand
Rapids Art Museum, a local
food pantry, and served as a
math tutor for students from
middle school to college. He
has been in the U.S. Navy
since 2010.
Steve MacDonald
Steve is from St. Ignace,
Mich. He earned a degree in
political science from Lake
Superior State University.
He has worked in the legal
department of the Sault Ste.
Marie Tribe of Chippewa Indians and played for the Lake
Superior State men’s basketball team. He was named to
the All-Academic Team for
the Great Lakes intercolle-
giate Athletic conference all
three years he was eligible.
Steve has volunteered with
Big Brothers Big Sisters and
Special Olympics and was
volunteer coach for youth
basketball camps.
Megan Moore
Megan is from Grosse Pointe
Woods, Mich. She earned
a degree in human biology
from Michigan State University. Megan has worked as a
lifeguard a swim coach. She
conducted research examining the radiation-induced
apoptosis in human Tlymphocytes. Megan participated in a medical ethics and
history of health care study
abroad program in London,
England, and a clinical and
cultural experience study
abroad in St. Petersburg,
Russia.
Ben Sopczynski
Ben is from Bridgeport,
Mich., and earned a degree
in human biology, biochemistry and molecular
biology/biotechnology from
Michigan State University.
Ben participated in cancer
stem cell research with the
MSU Carcinogenesis/Immunotoxicology laboratories.
After graduating, he worked
as a summer intern at the
National Institutes of Health
Laboratory of Experimental
Carcinogenesis, studying the
effects of epigenetic anti-cancer drugs on cholangiocellular carcinomas.
Laura Woodbeck
Laura is from Hancock,
Mich. She earned a degree
in biological sciences from
Michigan Technological
University. Laura worked as
a certified nursing assistant
and served as a nanny. She
also has worked as a teaching assistant for first-year
students and spent a spring
break volunteering at a
nature preserve in Puerto
Rico. She has volunteered
with many organizations,
including Portage Hospital,
the Humane Society, Relay
for Life, and the Department
of Human Services. She has
competed in two 16-mile
mountain bike races and a
triathlon.
Class of 2015 Begins Family Practice Residency
Recent medical school graduates have arrived to join the
Munson Family Practice Residency Program Class of 2015.
They include:
Leslie Kingsley, DO
Dr. Kingsley grew up in
Rockford, Mich., and graduated from Grand Valley State
University with a Bachelor of
Science degree in biomedical science. She received her
medical degree from Michigan State University College
of Osteopathic Medicine.
Dr. Kingsley loves to hike,
bike, run, and camp with her
husband, Joe. She is looking
forward to discovering all
the trails throughout Traverse City and hosting family
and friends for ski trips this
winter.
Erik Lindstrom, MD
Dr. Lindstrom was born in
Toledo, Ohio, and grew up
playing hockey throughout
the Midwest. He attended
Kent State University and
earned a Bachelor of Science
in integrated life sciences. He
received his medical degree from Xavier University
School of Medicine in Aruba.
Dr. Lindstrom is excited to
be in Traverse City where he
grew up spending summers
and winters with family. He
still loves playing hockey
along with skiing, fly fishing,
and kayaking the Boardman
River with his wife, Cathy.
Jeffrey C. Magnatta, DO
Dr. Magnatta grew up in the
northwest suburbs of Detroit.
He earned his Bachelor of
Science in kinesiology at the
Page 3 | MedNews | August 2012
Members of the Munson Family Practice Residency Program Class of 2015 include from left: Jeff Pryor, DO;
Erik Lindstrom, MD; Nikki McKinsey, DO; Richard Shoskey, MD; Leslie Kingsley, DO; and Jeffrey Magnatta, DO.
University of Michigan. He
recently obtained his medical degree from Michigan
State University College of
Osteopathic Medicine and
joined the National Health
Service Corps. Along with
his wife, Lauren, he enjoys
cooking and outdoor activities, including kayaking and
cross-country skiing. The
newlyweds look forward to
their new chapter of life in
northern Michigan.
McKinsey is an avid artist
who enjoys wheel-throwing
pottery and oil painting.
She also enjoys trail running, backpacking, yoga, and
traveling. She looks forward
to exploring the northern
Michigan outdoors and enjoying the community.
Jeff Pryor, DO
Dr. Pryor grew up in in the
northern California town of
Pittsburgh. He earned his
Bachelor of Arts degree in
Nikki McKinsey, DO
Biology from Azusa Pacific
Dr. McKinsey was born in
University. He obtained his
York, Pa. She obtained her
medical degree from PaBachelor of Science in mocific Northwest University of
lecular biology and biotechHealth Sciences College of
nology from Millersburg Uni- Osteopathic Medicine and is
versity of Pennsylvania. She
excited to see all that northrecently obtained her medical ern Michigan has to offer. Dr.
degree from Midwestern
Pryor enjoys kayaking, cyUniversity, Arizona College
cling, and spending time with
of Osteopathic Medicine. Dr. family and friends. He and his
wife, Lexi, are expecting their
first child in the fall.
Richard H. Shoskey, MD
Dr. Shoskey is a northern
Michigan native who grew
up in Petoskey and moved
to Traverse City during his
sophomore year of high
school. He graduated from
Traverse City Central, received his Bachelor of Science
degree from Grand Valley
State University and his medical degree from Wayne State
University School of Medicine. He and his wife, Dana,
are expecting their first child
in October. He enjoys cooking, tennis, golf, playing with
his dog, Mylo, and watching
Detroit Tigers baseball.
IN BRIEF
MHC Provides Support
to Traverse Health Clinic
The Munson Healthcare Board of
Directors announced it has approved
a Memorandum of Understanding
with Traverse Health Clinic to provide
$300,000 of direct financial support
for the Clinic to provide primary care
during the next year.
This support will strengthen the
clinic’s safety net services for the
uninsured during this uncertain time
of health care funding. Recognizing
the important benefit provided by
the Traverse Health Clinic, Munson
Healthcare joins the community’s
strong support of the clinic’s mission.
“Traverse Health Clinic is an
important, independent part of our
health care community,” said Ed
Ness, president and CEO of Munson
Healthcare and Munson Medical
continued from page 1
CDI
Center. “We believe in investing in our
community, especially when it relates
to meeting health care needs. Health
care reform is all about delivering
quality care in a low cost, outpatient
setting and that is exactly what the
clinic provides. We need this service in
our community.”
Radiologist Joins
Munson Medical Center
Patrick T. Gartland, MD, has joined
the staff of Munson Medical Center
to specialize
in diagnostic/
musculoskeletal
radiology.
Dr. Gartland
practices with
Grand Traverse
Radiologists, PC,
in Traverse City.
Dr. Gartland
graduated from Medical College
of Wisconsin, Milwaukee, Wis.
He completed both his radiology
CDS team, allows Munson
Medical Center to conduct
chart reviews more efficiently
The project team includes
while the patient is still in the
Clinical Documentation
Integrity Specialists that serve hospital.
as documentation resources
to providers on patient floors. Munson launched the CDI
program under the direction
The CDI team conducts
of Vice President for Mediconcurrent chart reviews,
cal Affairs Dave McGreaham,
meaning while the patient is
in the hospital, and looks for MD, Dr. Donley, and Popa.
detailed clinical data to support the physician diagnoses. Creation of the CDS team, allows Munson Medical Center
This will help providers better to conduct chart reviews more
efficiently while the patient is
facilitate care coordination
and document the severity of still in the hospital. The work
of the CDS team does not
illness and risk of mortality
supplant core measure clarifor patients, conditions that
make the principal diagnoses fication requests; over time
Munson will streamline these
more costly.
processes to be more efficient
Historically, Medical Records for physicians.
has always conducted clinical
“As health care evolves and
documentation reviews retrospectively. Creation of the diagnoses and treatments
Page 4 | MedNews | August 2012
residency and musculoskeletal
radiology fellowship at the Medical
College of Wisconsin Affiliated
Hospitals, Milwaukee, Wis. Dr. Gartland
is board certified.
Patients may access CarePages at
munsonhealthcare.org/carepages.
New CarePages Help Munson
Patients Stay Connected
The loneliest and longest hours of
anyone’s life can be those spent in
a hospital room. Now, patients at
Munson Medical Center and their
families can easily stay connected with
loved ones and friends before, during,
and after being in the hospital through
a free CarePages website.
CarePages provides an easy and
secure way for patients to build and
tap into their own community of
support, and allows family and friends
a timely way to send well wishes.
Providers will need a signed
Release of Information form prior
to being able to share any medical
information on a patient’s CarePages.
become more specific, clinical
documentation must also
evolve and requires a higher
level of sophistication,” Dr.
McGreaham said. “The CDI
project team is guiding Munson Medical Center through
the implementation of new
industry standards related to
clinical documentation and
future requirements of the
Centers for Medicare and
Medicaid Services.”
A member of the CDI team
may ask a physician or
nurse for assistance to better
understand what is clinically
happening with a patient.
Those looking at a physical
inpatient chart may notice
purple query forms left for
physicians by the CDS team.
The query will request the
physician to supplement or
Save the Date: Physicians
Reception is Sept. 27
Physicians are encouraged to save the
date Thursday, Sept. 27, for the annual
Physcian Welcome Reception honoring
new physicians.
The program will be held at Hagerty
Center on Northwestern Michigan
College’s Great Lakes Campus. This
popular social event welcomes
new physicians and honors retiring
physicians.
For more information, call (231) 9355892.
clarify documentation in the
medical record.
The provider can respond to
the query by:
a) Agreeing or disagreeing
b) Stating he/she does not
know the answer.
If unsure, providers are
welcome to call a CDS nurse
to discuss clarification.
The CDI initiative is focused
on a shared learning process
that includes the CDS team
and providers.
It is the physician’s responsibility to respond to the query
by documenting clarification
in the progress notes and carrying the additional information through to discharge
summary. These queries must
stay with the chart.